﻿<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<link href="frmm_registrant.css" rel="stylesheet" type="text/css">
<title>慕主先鋒教會</title>
</head>
<body>
 <form name="theForm" action="{$SCRIPT_NAME}" method="post">
<div id="container"> 
  <h1><img src="frmmtitlePic.jpg" width="785" height="75"></h1>
  <div id="thick-col1"> 
   <br>   
  <p>
<TABLE>
<tr>
    <td>中文姓名</td> 
    <td><input type="text" name="cname" value="{$cname}" size="15" maxlength="25"></td>
</tr>
<tr>
    <td><font color="#FF0000">*英文名 First Name</font></td>
    <td><input type="text" name="firstname" value="{$firstname}" size="15" maxlength="25" readonly="readonly"></td>
</tr>
    <td><font color="#FF0000">*英文姓 Last Name</font></td>
    <td><input type="text" name="lastname" value="{$lastname}" size="15" maxlength="25" readonly="readonly"></td>                
<tr>
   <td>性別 Gender</td>
    <td><select name=gender>
    {html_options options=$gender_options selected=$gender}
    </select></td>
</tr>
   {if $pastoral_staff eq "P" || $pastoral_staff eq "Y" || $pastoral_staff eq "M" || $pastoral_staff eq "I" }
<tr>
    <td>牧者 Pastoral Staff</td>
<td><select name=pastoral_staff>{html_options options=$pastor_options selected=$pastoral_staff readonly="readonly"}
 </select></td>
</tr>
 <tr>
    <td>职务 Title</td>
    <td><input type="text" name="title" value="{$title}" readonly="readonly"></td>
</tr>
   {/if}
<tr>
    <td><font color="#FF0000">*電郵帳號 Email</font></td>
    <td><input name="email" type="text" value="{$email}" size="25" maxlength="40" readonly="readonly"></td>
    
</tr>
<tr>
    <td><font color="#FF0000">*自設密碼 Password</font></td> 
    <td><input type="password" name="password" value="{$pwd}" size="20" maxlength="30" readonly="readonly"></td>
</tr>                 
<tr>
    <td>住址電話 Home Phone</td>
    <td><input type="text" name="home_phone" value="{$homephone}" size="18" maxlength="30" readonly="readonly"></td>
</tr>
<tr>
    <td>手提電話 Cell Phone</td>
    <td><input type="text" name="mobile_phone" value="{$mobilephone}" size="18" maxlength="30" readonly="readonly"></td>
</tr>
<tr>
    <td>公司電話 Work Phone</td> 
    <td><input type="text" name="work_phone" value="{$workphone}" size="18" maxlength="30" readonly="readonly"></td>
</tr>
<tr>
    <td>住址 Adress 1 </td>
    <td><input type="text" name="address1" value="{$address1}" size="45" maxlength="80" readonly="readonly"></td>
</tr>
<tr>
    <td>住址 Adress 2</td>
    <td><input type="text" name="address2" value="{$address2}" size="45" maxlength="80" readonly="readonly"></td>
</tr>
<tr>
    <td>城市 City</td>
    <td><input type="text" name="city" value="{$city}" size="15" maxlength="40" readonly="readonly"></td>
</tr>
<tr>
    <td>州 State</td>
    <td><select name=state>
   {html_options options=$state_options selected=$state}
    </select></td>
</tr>
<tr>
    <td>郵遞 Zip Code</td>
    <td><input type="text" name="zipcode" value="{$zipcode}" size="5" maxlength="10" readonly="readonly"></td>
</tr>
<tr>
    <td><font color="#FF0000">*國家 Country </font></td>
    <td><select name=country>
   {html_options options=$country_options selected=$country}
    </select></td>
</tr>
<tr> 
   <td> 教會 (Church)</td>
    <td><select name=church>
    {html_options options=$church_options selected=$church}
    </select></td>
</tr>
<tr>
    <td>其他,教會名字 (Other, Name of your church)</td>
    <td><input name="other_church" type="text" value="{$other_church}" size="36" maxlength="254"></td>
</tr>
   {if $pastoral_staff eq "P" || $pastoral_staff eq "Y" || $pastoral_staff eq "M" || $pastoral_staff eq "I" }
   
<tr>
    <td>教會人數 Church Members</td>
	<td><select name=church_size>
    {html_options options=$church_size_options selected=$church_size readonly="readonly"}
    </select>其他 <input name="church_size_other" type="text" value="{$church_size_other}" size="36" maxlength="254"></td></tr>
<tr>

</tr>
{/if}
</TABLE>                                                                                      
  </p>
  <p>
   <input type="submit" name="cancel" value="Close 关闭">
      
 </p>
 </div>
 </div>   
 </form>   
</body>
</html>